Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $2,872.00 / $10,234.00	Facility		$638.00	$2,872.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.37 / $541.51 / $909.59	Professional		$399.37	$541.51	$909.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.06 / $421.26 / $702.64	Professional		$401.06	$421.26	$702.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.84 / $1,656.96 / $3,494.69	Facility		$913.84	$1,656.96	$3,494.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $519.85 / $747.80	Professional		$393.37	$519.85	$747.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $1,194.52 / $4,930.10	Facility		$675.00	$1,194.52	$4,930.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $428.78 / $694.21 / $1,569.45	Professional		$428.78	$694.21	$1,569.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $421.88 / $1,000.92 / $1,000.92	Facility		$421.88	$1,000.92	$1,000.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $908.58 / $2,530.00	Facility		$723.47	$908.58	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.15 / $620.24 / $1,011.32	Professional		$436.15	$620.24	$1,011.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.10 / $11,500.00 / $26,542.00	Facility		$2,954.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.32 / $4,003.28 / $4,777.13	Professional		$3,094.32	$4,003.28	$4,777.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.37 / $553.27 / $941.58	Facility		$399.37	$553.27	$941.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.19 / $718.17 / $982.24	Professional		$549.19	$718.17	$982.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $460.37 / $695.99 / $1,483.10	Professional		$460.37	$695.99	$1,483.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.21 / $558.38 / $1,100.46	Facility		$404.21	$558.38	$1,100.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $676.62 / $1,210.19	Professional		$450.00	$676.62	$1,210.19
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.07 / $574.77 / $912.28	Professional		$419.07	$574.77	$912.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.73 / $543.28 / $736.24	Professional		$465.73	$543.28	$736.24